Radiology, Vol 197, 443-446, Copyright © 1995 by Radiological Society of North America

ARTICLES

US depiction of partial-thickness tear of the rotator cuff

MT van Holsbeeck, PA Kolowich, WR Eyler, JG Craig, KK Shirazi, GK Habra, GM Vanderschueren and JA Bouffard
Department of Radiology, Henry Ford Hospital, Detroit, MI 48202, USA.

PURPOSE: To test previously defined ultrasound (US) criteria for identification of partial-thickness tears of the rotator cuff. MATERIALS AND METHODS: Before shoulder arthroscopy, 52 patients with shoulder pain for more than 3 months were examined with a 7.5-MHz commercially available linear-array transducer and a standardized study protocol. The criteria used to detect partial-thickness tears were (a) a mixed hyper- and hypoechoic focus in the crucial zone of the supraspinatus tendon and (b) a hypoechoic lesion visualized in two orthogonal imaging planes with either articular or bursal extension. RESULTS: The US findings were reported as partial-thickness tears in 17 shoulders, of which three were false-positive findings. There was one false-negative finding. The sensitivity of US in depiction of partial- thickness tears was 93%, and specificity was 94%. The positive predictive value was 82%, and the negative predictive value was 98%. CONCLUSION: US can depict most partial-thickness tears with use of the criteria described.

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